NPIMap

Organization Active NPI

Marshall Medical Center South Burson Urology

  • Urology Physician
  • Boaz, AL
National Provider Identifier
1386021822
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY
Practice address
2525 US Highway 431
Suite 150
Boaz, AL 35957-5971
Phone
(256) 840-4855
Fax
(256) 840-4854
NPI assigned
May 5, 2015
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHALL MEDICAL CENTER SOUTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kathy B Nelson
Title
Cfo
Phone
(256) 840-4855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

2525 US Highway 431
Suite 150
Boaz, AL 35957-5971

Mailing address

2525 US Highway 431
Suite 150
Boaz, AL 35957-5971
Phone (256) 840-4855

National Provider Directory

National Provider Directory
Part of
Boaz-Albertville Hospital

Locations

2525 US Highway 431
Ste 150
Boaz, AL 35957
Phone (256) 593-4560

55 Rowe Dr
Guntersville, AL 35976
Phone (256) 840-4855

Interoperability endpoints

  • Direct secure messaging: sheriswader@msc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1386021822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 150",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575971",
            "telephone_number": "256-840-4855",
            "fax_number": "256-840-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 150",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575971",
            "telephone_number": "256-840-4855",
            "fax_number": "256-840-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHALL MEDICAL CENTER SOUTH",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "256-840-4855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.